Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.09 / $113.09 / $456.00	Facility		$113.09	$113.09	$456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.31 / $113.09 / $137.88	Professional		$97.31	$113.09	$137.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $197.71 / $231.61 / $600.07	Facility		$197.71	$231.61	$600.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.72 / $118.12 / $273.70	Professional		$102.72	$118.12	$273.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $157.91 / $210.55 / $294.77	Facility		$157.91	$210.55	$294.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $147.38 / $210.55 / $450.83	Professional		$147.38	$210.55	$450.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.19 / $136.19 / $315.16	Facility		$136.19	$136.19	$315.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.43 / $99.43 / $174.00	Professional		$99.43	$99.43	$174.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $136.19 / $136.19 / $136.19	Facility		$136.19	$136.19	$136.19
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $99.43 / $136.19 / $136.19	Professional		$99.43	$136.19	$136.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.32 / $122.81 / $161.01	Professional		$89.32	$122.81	$161.01
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $70.03 / $101.77 / $152.59	Professional		$70.03	$101.77	$152.59